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107 STAT. 644 PUBLIC LAW 103-66—AUG. 10, 1993 42 u s e 1396a note. "(D) in the case of payment for a childhood vaccine administered before October 1,1994, to individiials entitled to medical assistance under the State plan, the State plan may make payment directly to the manufacturer of the vaccine unoer a voluntary replacement program agreed to by the State pursuant to which the manufacturer (i) supplies doses of the vaccine to providers administering the vaccine, (ii) periodically replaces the supply of the vaccine, and (iii) charges the State the manufactiu'er's price to the Centers for Disease Control and Prevention for the vaccine so administered (which price includes a reasonable amount to cover shipping and the handling of returns);". (2) EFFECJTIVE DATE.—^The amendments made by paragraph (1) shall take effect on the date of the enactment of this Act. (f) OUTREACH AND EDUCATION.— (1) IN GENERAL.—Section 1902(a) (42 U.S.C. 1396a(a)) is amended— (A) in paragraph (IIXB)— (i) by striking "effective July 1,1969,", (ii) bv striking "and" before "(ii)", and (iii) by striking "to him under section 1903" and inserting "to the individual under section 1903, and (iii) providing for coordination of information and edu- cation on pediatric vaccinations and delivery of immunization services"; (B) in paragraph (IIXC), by inserting ", including the I)rovision of information and education on pediatric vaccina- tions and the delivery of immunization services," after "operations imder this title"; and (C) in paragraph (43XA), by inserting before the comma at the end the following: "and the need for age-appropriate immunizations against vaccine-preventeble diseases". (2) COVERAGE OF PUBUC HOUSING HEALTH CENTERS AND CERTAIN INDIAN HEALTH CARE PROVIDERS AS FEDERALLY-QUALI- FIED HEALTH CENTERS.—Section 1905(1X2XB) (42 U.S.C. 1396d(lX2XB)) is amended— (A) by striking "or 340" each place it appears and inserting "340, or 340A", and (B) by inserting "or by an urban Indian organization receiving funds \mder title V of the Indian Health Care Improvement Act for the provision of primary health serv- ices" after "93-638)". (3) EFFECTIVE DATES.—(A) Except as provided in subpara- graph (B), the amendments made by this subsection shall apply to calendar quarters beginning on or after October 1, 1993, without regard to whether or not final regulations to carry out such amendments have been promiilgated by such date. (B) In the case of a Stote plan for medical assistence under title XIX of the Social Security Act which the Secretary of Health and Himian Services determines requires Stete legis- lation (other than legislation appropriating funds) in order for the plan to meet the additionsu requirements imposed by the amendments made b^ this subsection, the Stote plan shall not be regarded as miling to comply with the requirements of such title solely on the basis of ite failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session